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Licensing details for: 3712

Name: DEL MAR DENTAL GROUP, DENTAL OFFICE OF SHAHRAM

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1211 N DEL MAR AVE
FRESNO CA 93728
FRESNO county
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Issuance Date

June 19, 2002

Expiration Date

April 30, 2007

Current Date / Time

June 7, 2025
6:36:40 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHIDMAND, SEAN

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SHIDMAND, SEAN

License/Registration Type: Dentist License

License Number: 48018 Primary Status: Current - Active

Address :
353 C St
LEMOORE CA 93245-2931
KINGS COUNTY

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